The gender paradox in mortality—where men die earlier than women despite having more socioeconomic resources—may be partly explained by men’s lower levels of preventive health care. Stereotypical notions of masculinity reduce preventive health care; however, the relationship between masculinity, socioeconomic status (SES), and preventive health care is unknown. Using the Wisconsin Longitudinal Study, the authors conduct a population-based assessment of masculinity beliefs and preventive health care, including whether these relationships vary by SES. The results show that men with strong masculinity beliefs are half as likely as men with more moderate masculinity beliefs to receive preventive care. Furthermore, in contrast to the well-established SES gradient in health, men with strong masculinity beliefs do not benefit from higher education and their probability of obtaining preventive health care decreases as their occupational status, wealth, and/or income increases. Masculinity may be a partial explanation for the paradox of men’s lower life expectancy, despite their higher SES.
AddisMichael E.MahalikJames R.. 2003. “Men, Masculinity and the Contexts of Help Seeking.” American Psychologist58:5–14.
2.
AdlerNancy E.BoyceThomasChesneyMargaret A.CohenSheldonFolkmanSusanKahnRobert L.SymeS. Leonard. 1994. “Socioeconomic Status and Health: The Challenge of the Gradient.” American Psychologist49:15–24.
3.
Agency for Health Care Research & Quality. 2008. The Guide to Clinical Preventive Services: Recommendations of the U.S. Preventive Services Task Force. Washington, DC: Agency for Health Care Research & Quality.
4.
BatesMaryann S.Rankin-HillLesleySanchez-AyendezMelba. 1997. “The Effects of the Cultural Context of Health Care on Treatment of and Response to Chronic Pain and Illness.” Social Science and Medicine45:1433–447.
5.
BirdChloe E.RiekerPatricia P.. 2008. Gender and Health: The Effects of Constrained Choices and Social Policies. New York: Cambridge.
6.
BlackwellDebra L.MartinezMichael E.GentlemanJane F.SanmartinClaudiaBertheloJean-Marie. 2009. “Socioeconomic Status and Utilization of Health Care Services in Canada and the United States: Findings from a Binational Health Survey.” Medical Care47:1136–146.
7.
BolzendahlCatherine I.MyersDaniel J.. 2004. “Feminist Attitudes and Support for Gender Equality: Opinion Change in Women and Men, 1974–1998.” Social Forces82:759–90.
8.
BrannonRobert. 1976. “The Male Sex Role: Our Culture’s Blueprint for Manhood, What It’s Done for Us Lately.” Pp. 1–49 in The Forty-Nine Percent Majority: The Male Sex Role, edited by DavidD.BrannonR.. Reading, MA: Addison-Wesley.
9.
BrewsterKarin L.PadavicIrene. 2000. “Change in Gender-Ideology, 1977–1996: The Contribution of Intracohort Change and Population Turnover.” Journal of Marriage and the Family62:477–87.
10.
CalasantiToni. 2004. “Feminist Gerontology and Old Men.” Journals of Gerontology: Social Sciences59B:S305–14.
11.
CalasantiToniKingNeal. 2005. “Firming the Floppy Penis: Age, Class, and Gender Relations in the Lives of Old Men.” Men and Masculinities8:3–23.
12.
CampbellHughBellMichaelFinneyMargaret. 2006. Country Boys: Masculinity and Rural Life. University Park, PA: Pennsylvania State University Press.
13.
Centers for Disease Control and Prevention, Federal Interagency Forum on Aging-Related Statistics. 2008. Older Americans 2008: Key Indicators of Well-Being. Washington, DC: Federal Interagency Forum on Aging-Related Statistics.
14.
Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. 2007. “Prevention and Control of Influenza—Recommendations of the Advisory Committee on Immunization Practices (ACIP).” MMWR56:1–54.
15.
ConnellR. W.1987. Gender and Power: Society, the Person, and Sexual Politics. Stanford, CA: Stanford University Press.
16.
ConnellR. W.1992. “A Very Straight Gay: Masculinity, Homosexual Experience, and the Dynamics of Gender.” American Sociological Review57:735–51.
17.
ConnellR. W.MesserschmidtJames W.. 2005. “Hegemonic Masculinity: Rethinking the Concept.” Gender and Society19:829–59.
18.
CourtenayWill H.2000. “Constructions of Masculinity and their Influence on Men’s Well-Being: A Theory of Gender and Health.” Social Science & Medicine50:1385–401.
19.
CourtenayWill H.2003. “Key Determinants of the Health and Well-Being of Men and Boys.” International Journal of Men’s Health2:1–30.
20.
DowWilliam H.SchoeniRobert F.AdlerNancy E.StewartJudith. 2010. “Evaluating the Evidence Base: Policies and Interventions to Address Socioeconomic Status Gradients in Health.” Annals of the New York Academy of Sciences1186:240–51.
21.
EloIrma T.2009. “Social Class Differentials in Health and Mortality: Patterns and Explanations in Comparative Perspective.” Annual Review of Sociology35:553–72.
22.
GaldasPaulCheaterFrancineMarshallPaul. 2005. “Men and Health Help-Seeking Behaviour: Literature Review.” Journal of Advanced Nursing49:616–23.
23.
GoldbergTodd H.ChavinStephen I.. 1997. “Preventive Medicine and Screening in Older Adults.” Journal of the American Geriatrics Society45:344–54.
24.
HauserRobert M.WarrenJohn Robert. 1997. “Socioeconomic Indexes for Occupations: A Review, Update, and Critique.” Sociological Methodology27:177–298.
25.
HeronMelonieHoyertDonna L.MurphySherry L.XuJiaquanKochanekKennethTejada-VeraBetzaida. 2009. Deaths: Final Data for 2006. Vol. 57. Hyattsville, MD: National Center for Health Statistics.
KungHsiang-ChingHoyertDonna L.XuJiaquan Q.MurphySherry L.. 2008. Deaths: Final Data for 2005. Hyattsville, MD: National Center for Health Statistics.
28.
LaneC.2002. “The Annual Physical Examination: Needless Ritual or Necessary Routine?” Annals of Internal Medicine136:701–03.
29.
LeeDonghoonWolpinKenneth I.. 2006. “Intersectoral Labor Mobility and the Growth of the Service Sector.” Econometrica74:1–46.
30.
LinkBruce G.PhelanJo. 1995. “Social Conditions as Fundamental Causes of Disease.” Journal of Health and Social Behavior35:80–94.
31.
LutfeyKarenFreeseJeremy. 2005. “Toward Some Fundamentals of Fundamental Causality: Socioeconomic Status and Health in the Routine Clinic Visit for Diabetes.” American Journal of Sociology110:1326–372.
32.
MahalikJames R.LaganHugh D.MorrisonJay A.. 2006. “Health Behaviors and Masculinity in Kenyan and U.S. Male College Students.” Psychology of Men & Masculinity7:191–202.
33.
MartinPatricia Yancey. 2004. “Gender as Social Institution.” Social Forces82:1249–273.
34.
MeadowsRobertDavidsonKate. 2006. “Maintaining Manliness in Later Life: Hegemonic Masculinities and Emphasized Femininities.” Pp. 295–312 in Age Matters: Realigning Feminist Thinking, edited by CalasantiT. M.SlevinK. F.. New York: Routledge.
35.
O’BrienRosaleenHuntKateHartGraham. 2005. “It’s Caveman Stuff, but That is to a Certain Extent How Guys Still Operate: Men’s Accounts of Masculinity and Help-Seeking.” Social Science and Medicine61:503–16.
36.
PhelanJoLinkBruceTehranifarParisa. 2010. “Social Conditions as Fundamental Causes of Health Inequalities: Theory, Evidence, and Policy Implications.” Journal of Health and Social Behavior51(1):S28–S40.
37.
PleckJosephSonensteinFreyaKuLeighton. 1993. “Masculinity Ideology: Its Impact on Adolescent Males’ Heterosexual Relationships.” Journal of Social Issues49:11–29.
38.
ProchazkaAllan V.LundahlKristyPearsonWesleyObolerSylvia K.AndersonRobert J.. 2005. “Support of Evidence-Based Guidelines for the Annual Physical Examination: A Survey of Primary Care Providers.” Archives of Internal Medicine165:652–59.
39.
PykeKaren D.1996. “Class-Based Masculinities: The Interdependence of Gender, Class, and Interpersonal Power.” Gender and Society10:527–49.
40.
RismanBarbara J.1998. Gender Vertigo: American Families in Transition. New Haven, CT: Yale University Press.
41.
RoseL. E.KimM. T.DennisonC. R.HillM. N.. 2000. “The Contexts of Adherence for African Americans with High Blood Pressure.” Journal of Advanced Nursing32:587–94.
42.
RoystonPatrick. 2005. “Multiple Imputation of Missing Values: Update of ICE.” Stata Journal5:527–36.
43.
RubinDonald B.1987. Multiple Imputation for Nonresponse in Surveys. New York: John Wiley.
44.
ScottJoan W.1986. “Gender: A Useful Category of Historical Analysis.” American Historical Review91:1053–075.
45.
SewellWilliam H.HauserRobert M.SpringerKristen W.HauserTaissa S.. 2003. “As We Age: The Wisconsin Longitudinal Study, 1957–2001.” Research in Social Stratification and Mobility20:3–111.
46.
SmithRobert A.CokkinidesVilmaEyreHarmon J.. 2006. “American Cancer Society Guidelines for the Early Detection of Cancer, 2006.” CA: A Cancer Journal for Clinicians56:11–25.
47.
StarfieldBarbaraShiLeiyuMacinkoJames. 2005. “Contribution of Primary Care to Health Systems and Health.” Milbank Quarterly83:457–502.
48.
StataCorp. 2009. Stata Statistical Software: Release 11. College Station, TX: StataCorp LP.
49.
SwamiVirenStanistreetDebbiPayneSarah. 2008. “Masculinities and Suicide.” The Psychologist21:308–11.
50.
ThompsonEdward H.1994. “Older Men as Invisible Men in Contemporary Society.” Pp. 1–21 in Older Men’s Lives, edited by ThompsonE. H.London: Sage.
51.
UmbersonDebra. 1992. “Gender, Marital Status, and the Social Control of Health Behavior.” Social Science and Medicine34:907–17.
52.
U.S. Bureau of the Census. 2003. Current Population Survey, Annual Social and Economic Supplement. Washington, DC: U.S. Bureau of the Census.
53.
VossJohn D.SchectmanJoel M.. 2001. “Prostate Cancer Screening Practices and Beliefs: A Longitudinal Physician Survey.” Journal of General Internal Medicine16:831–37.
54.
WadsworthM. E. J.MontgomeryS. M.BartleyM. J.. 1999. “The Persisting Effect of Unemployment on Health and Social Well-Being in Men Early in Working Life.” Social Science and Medicine48:1491–499.
55.
WallHoward J.2009. “The ‘Man-Cession’ of 2008–2009.” The Regional EconomistOctober:5–9.
56.
WestCandaceFenstermakerSarah. 1995. “Doing Difference.” Gender and Society9:8–37.
57.
WestCandaceZimmermanDon. 1987. “Doing Gender.” Gender and Society1:125–51.
58.
WilliamsDavid R.2003. “The Health of Men: Structured Inequalities and Opportunities.” American Journal of Public Health93:724–31.
59.
YinSandra. 2006. Elder White Men Afflicted by High Suicide Rates. Washington, DC: Population Reference Bureau.
